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Upper-Limb Muscle Strength relates with pulmonary functions, exercise capacity, quality of life and dyspnea in patients

Upper-Limb Muscle Strength relates with pulmonary functions, exercise capacity, quality of life and dyspnea in patients with COPD. Ataturk Chest Disease and Chest Surgery Center PULMONARY REHABILITATION and HOME CARE UNIT

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Upper-Limb Muscle Strength relates with pulmonary functions, exercise capacity, quality of life and dyspnea in patients

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  1. Upper-Limb Muscle Strength relates with pulmonary functions, exercise capacity, quality of life and dyspnea in patients with COPD Ataturk Chest Disease and Chest Surgery Center PULMONARY REHABILITATION and HOME CARE UNIT Demir N, PT; Kaymaz D, MD; Ergun P, MD; Canak E,PT; Egesel N, Psy; Topcuoglu F, RN

  2. COPD • COPD is a treatable disease which is almost irreversible and with progressive airway limitation characterized systemic consequences.

  3. SYSTEMİC EFFECTS • Weight loss • Skeletal muscle dysfunction • Cardiovascular diseases • Others • Osteoporosis • Depression and fatigue • Cancer

  4. Muscle dysfunction Peripheral Muscle dysfunction

  5. Changes in muscle Type 1 Type 2a Type2b Capillary density Oxidative capacity Strength and Endurance

  6. Daily Life Activities • Indirect participation to respiration • Ventilation • Oxygen expanditure

  7. Aim To evaluate the relationship between Upper limb muscle strength and • Respiratory functions • Exercise capacity • Quality of life • Dyspnea

  8. Material and Methods-I • Tensiometer • Manuel muscle test • Computerised methods • Dinamometre -Handgrip • 1 repetation of maximum (1 RM) Muscle strength assesment methods

  9. Material and Methods-II • Measurement ofdyspnea; -Medical Research Council (MRC) • Health releated quality of life - St. George Respiratory Questionary (SGRQ)

  10. Material and Methods-III • Exercise capacity • - Incremental Shuttle Walking Test • (ISWT) • - Endurance Shuttle Walking Test • (ESWT)

  11. Demographics

  12. Baseline Parameters-I

  13. Baseline Parameters-II

  14. THE RELATIONSHIP BETWEEN UPPER LIMB MUSCLE STRENGTH AND RESPIRATORY FUNCTIONS • EXERCISE CAPACITY, QUALITY OF LIFE • DYSPNEA

  15. Results;

  16. Relationship of upper-limb and thoracic muscle strength to 6-min walk distance in COPD patientsChest 2006;129;551-557 CONCLUSION; Upper limb muscle strength and exercise capacity • Peripheral muscle weakness contributes to exercise limitation in COPD • Am. J. Respir. Crit. Care Med., Vol 153, No. 3, Mar 1996, 976-980

  17. Upper limb muscle strength and respiratory function Chest 2005;125:1225-32 Relationship between pulmonary function and unsupported arm exercise in patients with COPD. Monaldi Arch Chest Dis. 2001 Aug;56(4):309-14 Upper extremity muscle strength correlated with IC, FRC, MIP

  18. Upper limb muscle strength and quality of life • Peripheral muscle strength in stable COPD patients: correlation with respiratory function variables and quality of life Arch Bronconeumol. 1999 Mar;35(3):117-21 • Quality of life in severe chronic obstructive pulmonary disease: correlation with lung and muscle function. Respir Med. 1998 Feb;92(2):221-7

  19. Upper extremity exercise training is important in PULMONARY REHABILITATION EXERCISE PROGRAMS • Arm exercises results increase in dynamic hyperinflation which directly correlated with increases in dyspnea,arm effort and VO2. • The arm training programme resulted in the following • increase in exercise capacity at peak exercise • decrease in both ventilation and dynamic hyperinflation, • decrease in dyspnea and arm effort

  20. Thanks

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